MEDICARE: KDJ HEALTHCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1518713585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KDJ HEALTHCARE INC

Provider Business Mailing Address
First Line	:	2781 W OLYMPIC BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2632
Country	:	US
Telephone Number	:	213-816-0270
Fax Number	:	213-816-0721

Provider Business Practice Location Address
First Line	:	2781 W OLYMPIC BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2632
Country	:	US
Telephone Number	:	213-816-0270
Fax Number	:	213-816-0721

Authorized Official
Title or Position	:	OWNER
Name	:	JASON YANG
Credential	:
Telephone Number	:	213-816-0270

Provider Enumeration Date	:	04/29/2024
Last Update Date	:	04/29/2024

Similar Medicare Providers

1336260348 — KDJ HEALTHCARE INC
Practice Location Address:

2781-2783 W. OLYMPIC BLVD.
LOS ANGELES, CA
90006-2632

Practice Phone: 213-816-0270
Practice Fax: 213-816-0271

1063957439 — SEO ACUPUNCTURE & HERB CLINIC, INC.
Practice Location Address:

2775 W OLYMPIC BLVD
LOS ANGELES, CA
90006-2632

Practice Phone: 213-822-2330
Practice Fax:

1811864226 — LEANNA DAYOUNG KIM
Practice Location Address:

2781 W OLYMPIC BLVD
LOS ANGELES, CA
90006-2632

Practice Phone: 213-816-0270
Practice Fax:

1669507851 — GRACE KIM
Practice Location Address:

3600 WILSHIRE BLVD STE 2200
LOS ANGELES, CA
90010-2632

Practice Phone: 213-382-4400
Practice Fax:

1366639924 — DENISE MARSHALL
Practice Location Address:

8346 BEVERLY BLVD
LOS ANGELES, CA
90048-2632

Practice Phone: 323-653-1677
Practice Fax:

1992992564 — STEPHANIE CHISM
Practice Location Address:

8346 BEVERLY BLVD
LOS ANGELES, CA
90048-2632

Practice Phone: 323-659-1677
Practice Fax:

Directions to “KDJ HEALTHCARE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.